Don’t Be Fooled by Radical Progressives Who Want to Legalize Transgender Surgeries and Drugs for Children
Vote Yes on Amendment 3
Amendment 3 would add this rule to the Missouri Constitution: no gender-transition surgeries on anyone under 18, and no puberty blockers or cross-sex hormones prescribed or given to children for the purpose of gender transition. Limited exceptions apply only to medically verified disorders of sex development and to treatment unrelated to transition.
Show-Me Missourians should not be deceived by out-of-state radicals who want to allow heartless people to profit from gender procedures on children. More than $12 million in campaign donations has poured in from New York, D.C., and California to trick you into allowing children to be drugged and sexually mutilated. The Missouri Ethics Commission online campaign reporting for large donations over $5,000 shows that most of the money for the campaign opposing Amendment 3 was from outside of Missouri and only $1.9 million came from Missouri donors. The largest donation from someone in Missouri is a member of the Pulitzer family, which used to own the liberal St. Louis Post-Dispatch.
Committed leftists are trying to buy our Constitution to mutilate and drug our children. Here is a link to the spreadsheet from the Missouri Ethics Commission as of 9/13/2026. You will need to have Excel to view the file and review both tabs.
The SAFE Act Won’t Protect Children for Long
Democrats will try to trick you into believing that Amendment 3 is unnecessary because of the SAFE Act, which they universally opposed in the first place.
Current state law restricts these procedures, but there are two reasons it will not hold up in court. First, the Constitution takes precedence over state laws. Therefore, if Amendment 3 does not pass, the gender-clinic industry will use Article I, Section 36 of the Missouri Constitution to challenge the SAFE Act or any similar laws that follow it. Second, the SAFE Act expires in 2027. The gender-clinic industry would then be able to dispense hormone blockers after August 28, 2027. More importantly, the current Article I, Section 36, subsection 3, clearly states:
The right to reproductive freedom shall not be denied, interfered with, delayed, or otherwise restricted unless the Government demonstrates that such action is justified by a compelling governmental interest achieved by the least restrictive means. Any denial, interference, delay, or restriction of the right to reproductive freedom shall be presumed invalid. For purposes of this Section, a governmental interest is compelling only if it is for the limited purpose and has the limited effect of improving or maintaining the health of a person seeking care, is consistent with widely accepted clinical standards of practice and evidence-based medicine and does not infringe on that person's autonomous decision-making.
The Missouri ACLU fought to overturn the SAFE Act and will likely use the current Article I, Section 36 to challenge common-sense limits on gender procedures again. The following appears on its website:
“The ACLU of Missouri, Lambda Legal, and Bryan Cave Leighton Paisner LLP argued that SB 49 (the SAFE Act) unconstitutionally discriminates against transgender individuals by denying them access to medically necessary treatments that remain available to non-transgender people, while interfering with fundamental rights to medical decision-making and parental autonomy.
“Today's decision allows the state to continue to enforce a harmful ban that singles out transgender Missourians and denies them compassion and equal access to medically necessary health care,” said Gillian Wilcox, Director of Litigation at the ACLU of Missouri. “The decision not only allows the state to target transgender Missourians’ access to health care but also leaves everyone's health care options at the whims of politicians, should the care you depend on ever fall into the political arena.”
The article references the E.N. v. Kehoe ruling of October 2024, which was decided a few weeks before the previous Amendment 3 passed. This means that the same people who tried to restart the transgender medical industry will probably challenge the SAFE Act again to remove legal limits on drugs and surgeries for children. Access this link for more detailed information about the law suit, E.N. vs Kehoe.
“Reproductive Freedom” = Mutilating and Drugging Children for Profit
This means that, if Amendment 3 is defeated, the gender-reassignment industry and its legal teams will soon challenge the SAFE Act and undoubtedly win in court. They put that language into the Constitution because they know that “reproductive freedom” includes gender surgeries and procedures for children. They write it into the laws of other states for the purpose of mutilating and drugging children.
The new Amendment 3 is therefore needed to help prevent this from happening. The following section of the proposed 2026 Amendment 3 would protect children from mutilation and drugs:
No gender transition surgeries shall be knowingly performed on children under eighteen years of age, and no cross-sex hormones or puberty-blocking drugs shall be knowingly prescribed or administered for the purpose of gender transition to children under eighteen years of age. The provisions of this section shall not apply to the use of such surgeries, drugs, or hormones to treat children born with a medically verifiable disorder of sex development or to treat any infection, injury, disease, or disorder unrelated to the purpose of a gender transition.
Use the document link to read the actual and entire wording of Amendment 3 on the second page. The first page contains the current Article I, Section 36 of the Missouri Constitution. The second page contains the 2026 Amendment 3 language that would replace the current Article I, Section 36. This would close the door on surgeries and prevent the ACLU, the Lambda Foundation, and the transgender medical industry from victimizing Missouri’s children.
They Can Make Millions of Dollars Mutilating and Drugging Missouri’s Children
Don’t be naive: the financial incentive is extremely strong for the transgender industry. For example, male-to-female bottom surgery, called vaginoplasty, creates a vagina, clitoris, and labia using existing male genital tissue. The average cost of such a procedure ranges from $20,000 to $30,000. It could require a child to remain in the hospital for three to five days and take as long as a year to recover. Metoidioplasty uses hormone-enlarged clitoral tissue to create a small penis for female-to-male bottom surgery. This procedure preserves costs between $6,000 and $30,000. Phalloplasty constructs a penis using tissue grafts from the forearm, thigh, or abdomen. This procedure creates a larger phallus but requires a more extensive recovery and costs between $20,000 and $150,000. Here is the source of this information.
According to a study by the National Center for Transgender Equality, one in four adult respondents (25%) reported having undergone some form of transition-related surgery. Here is the source of this information from a pro-transgender organization. See page 100. As of August 2025, the number of transgender people ages 13–17 in Missouri was 14,200. Here is that source, also from a pro-transgender organization, the Williams Institute at the UCLA School of Law. See page 13.
If 3,550 young people, using the same percentage of people who had surgeries as adults, underwent transgender surgeries of those described above, clinics such as the Washington University Transgender Center would have an immediate $10.6 million market potential among Missouri residents ages 13–26.
Jamie Reed, a former employee and whistleblower, said at a recent speaking engagement on September 10, 2026, that the clinic could handle an additional 1,500 child cases per year.